Individual
KRISTA STACEY CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
15 KAREN ST, SPOTSWOOD, NJ 08884-1228
(732) 995-5358
Mailing address
15 KAREN ST, SPOTSWOOD, NJ 08884-1228
(732) 995-5358
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
013752-1
NY
225X00000X
Occupational Therapist
Primary
46TR00465200
NJ
Other
Enumeration date
08/11/2010
Last updated
02/26/2025
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